| Lifeline Medical Center, Llc | |
|
3330 Peachtree Corners Cir Ste H Norcross GA 30092-3657 | |
| (678) 580-0950 | |
| (678) 580-0991 |
| Full Name | Lifeline Medical Center, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3330 Peachtree Corners Cir Ste H, Norcross, Georgia |
| Authorized Official Name and Position | Safia Pirani (OWNER/PROVIDER) |
| Authorized Official Contact | 6785800950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Medical Center, Llc 3330 Peachtree Corners Cir Ste H Norcross GA 30092-3657 Ph: (678) 580-0950 | Lifeline Medical Center, Llc 3330 Peachtree Corners Cir Ste H Norcross GA 30092-3657 Ph: (678) 580-0950 |
| NPI Number | 1013321702 |
|---|---|
| Provider Enumeration Date | 06/20/2014 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013321702 | NPI | - | NPPES |
| 056624 | Other | GA | LIC |
| 267992339C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 056624 (Georgia) | Primary |
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